Specialist, reputed company Interventions/QI Compliance- Remote

Job reputed companyJOB reputed companyJob reputed companyMolina's reputed company Improvement function oversees, plans, and implements new and existing reputed company reputed company improvement initiatives and education programs; ensures maintenance of programs for members in accordance with prescribed reputed company standards; conducts data collection, reporting and monitoring for key performance measurement activities; and provides direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities.KNOWLEDGE/SKILLS/ABILITIESThe Specialist, reputed company Interventions/ QI Compliance contributes to one or more of these reputed company improvement functions: reputed company Interventions and reputed company Improvement Compliance.

• Implements key reputed company strategies, which may include initiation and management of provider, member and/or community interventions (e.g., removing barriers to care); preparation for reputed company Improvement Compliance surveys; and other federal and state required reputed company activities.
• Monitors and ensures that key reputed company activities are completed on time and accurately to present results to key departmental management and other Molina departments as needed.
• Writes narrative reports to interpret regulatory specifications, explain programs and results of programs, and document findings and limitations of department interventions.
• Creates, manages, and/or compiles the required documentation to maintain critical reputed company improvement functions.
• Leads reputed company improvement activities, meetings, and discussions with and between other departments reputed company the organization.
• Evaluates project/program activities and results to identify opportunities for improvement.
• Surfaces to Manager and Director any gaps in processes that may require remediation.
• Other tasks, duties, reputed company, and programs as assigned.

This position may require reputed company day out of office travel approximately 0 - 50% of the time, depending upon location.This position may require multiple day out of town overnight travel approximately 0 - 20% of the time, depending upon location.JOB QUALIFICATIONSRequired EducationBachelor's Degree or equivalent combination of education and work experience.Required Experience

• Min. 3 years' experience in reputed company with 1 year experience in health plan reputed company improvement, managed care, or equivalent experience.
• Demonstrated solid business writing experience.
• Operational knowledge and experience with reputed company and Visio (reputed company chart equivalent).

Preferred EducationPreferred field: Clinical reputed company, Public Health or reputed company.Preferred Experience1 year of experience in Medicare and in reputed company.Preferred License, Certification, Association

• Certified reputed company in Health reputed company (CPHQ)
• Nursing License (RN may be preferred for specific roles)
• Certified HEDIS Compliance Auditor (CHCA)

To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Apply To This Job